FAIRFAX, VA —
OSHA Injury Report: 0204 - FAIRFAX VA
Injury · Days away from work
At a glance
On , an injury at 0204 - FAIRFAX VA in 4725 WEST OX ROAD, FAIRFAX, VA 22202 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 0204 - FAIRFAX VA
- Parent company
- Costco Wholesale
- Street
- 4725 WEST OX ROAD
- City
- FAIRFAX
- State
- VA
- ZIP
- 22202
- On-site location
- MAINTENANCE
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 180
- Days restricted or transferred
- 73
Before the incident
lifting the part of the scrober
What happened
[REDACTED] hurt her shoulder wirh the scrober
Injury or illness
Inflammation swelling Arm Right Side
Object or substance involved
Maintenance Housekeeping
Summary line
Inflammation swelling Arm Right Side Lifting Maintenance Housekeeping
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 418
- Total hours worked
- 601992
- EIN
- 911223280
- Establishment ID
- 1217901
- Employer case #
- WC80DG1675
When (timing detail)
- Date of incident
- Shift started
- 6:00:00.000
- Time of incident
- 9:25:00.000
- Submitted
- 04MAR24:19:30:00
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View 0204 - FAIRFAX VA's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.